Free Return of Service Executed - District Court of Delaware - Delaware


File Size: 46.1 kB
Pages: 1
Date: December 31, 1969
File Format: PDF
State: Delaware
Category: District Court of Delaware
Author: unknown
Word Count: 247 Words, 1,395 Characters
Page Size: Letter (8 1/2" x 11")
URL

https://www.findforms.com/pdf_files/ded/40284/3.pdf

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Case 1 :08-cv-00308-JJF Document 3 Filed 05/28/2008 Page 1 of 1 p
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. RETURN OF SERVICE
Service of the Summons and complaint was made by mem DATE 5 1
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NAME OF sERvER (PRINT) TE j(j,M,’;Z*;y E . l
/thm/d A4 Bree/e R fm 77% ( »n%Jo e.z l
Check one box below to indicate appropriate method of service ‘ FV U l
Served personally upon the defendant. Place where served: I
GPWCE oF *7}9£' 0/: 6`7Z’7Z.
Left copies thereof at the defendants dwelling house or usual place of abode with a person of suitable age J
and discretion then residing therein. p i
Name of person with whom the summons and complaint were left: A lg?
Retumed unexecutedt ( W . ¢ AM/7L
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See erm i
Other (specify): A g
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STATEMENT OF SERVICE FEES
TRAVEL ·-*"" SERVICES . TOTAL
DECLARATION OF SERVER »
I declare under penalty of perjury under the laws of the United States of America that the foregoing
information contained in the Return of Service and Statement of Service Fees is true and correct. ' I
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Executed on: 5 A f . / ! 1 I
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D te Signature o Server ' /7"’
4 4 J; V ’ é 1 I A ,
Address of eryé _, l
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(l) As to who may serve a summons see Rule 4 of the Federal Rules of Civil Procedure.


Case 1:08-cv-00308-JJF

Document 3

Filed 05/28/2008

Page 1 of 1